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When the times comes to return your instrument for calibration, diagnostic check up or other services, please fill the following form and submit it. The information we are asking you is necessary to serve you in the best way.

Ship the instrument to

Communication Technology
Via del Monte, 1080 - 47023 Cesena (FC) Italy
Tel +39 0547 646561 - Fax +39 0547 300877

Please, include in the shipment 

- A description of the system
- The kind of services required
- The description of the operational fault

Write the RMA number on the shipment

Please, write on the shipment the RMA number that the Customer Support Manager indicated to you

Instrument cleaning

Please remove as much biological material and/or anti-foul coatings as possible before shipping

Return Material Authorization (RMA) Form

Customer Information

Name & Surname

Affiliation

Shipping/Delivery Address

Telephone

Fax

e-mail

Instrument you are returning

RMA number

Manufacturer

Model

Serial No.

Options Installed

Routine Services Required

Below you can select the services to be performed on the returned instrument.
Please, take some time to fill up the fields of the services that you select with as much information as possible. The more precise and accurate is your description, the better we will be able to serve you.
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Calibration

Yes   No

If you select "yes", please list the sensors to be calibrated.

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Basic Diagnostic and Check-out

Yes   No

 
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Diagnose and Repair Operational Fault

Yes   No

If you select "yes", please describe in detail the problem encountered.

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System Upgrade or Conversion

Yes   No

If you select "yes", please describe what you require.

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Other Services (please specify)

Yes   No

If you select "yes", please describe the services that you require.

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Notes & Comments

Please include any note and/or comment.

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I authorize to ship back the system to the manufacturer factory if needed

Yes   No

If you select "yes", we will inform you before shipping.

Privacy Act

Ai sensi della Legge 196/03, esprimo il mio consenso al trattamento dei miei dati sensibili per le seguenti finalitą:

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Raccolta e conservazione dei miei dati personali da parte di Communication Technology srl, al fine della fornitura del servizio di assistenza Clienti.

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Elaborazione dei miei dati personali per scopi amministrativi e contabili compreso l'eventuale invio di fatture commerciali da parte di Communication Technology srl. 

Si   No

I vostri dati sensibili saranno trattati da Communication Technology nel pieno rispetto della Legge 196/03.
Ricordiamo inoltre che, ai sensi della Legge 196/03, in ogni momento č possibile modificare, opporsi o far cancellare i propri dati scrivendo a Communication Technology - Via del Monte, 1080 - 47023 Cesena (FC).
Sito Internet del Garante della privacy

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Via del Monte 1080 - 47023 Cesena (FC) Italy - Tel +39 0547 64 65 61 - Fax +39 0547 300 877 
Copyright © 1993-2008 Communication Technology srl - Last modified: 30-apr-2008
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